Paed Child Healt Can
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Paed Child Healt Can · Jun 2017
The Canadian Hospital Injury Reporting and Prevention Program: Captured versus uncaptured injuries for patients presenting at a paediatric tertiary care centre.
The Canadian Hospital Injury Reporting and Prevention Program (CHIRPP) is an injury surveillance program that informs prevention policy locally and nationally. It is of import that it is reflective of the underlying population. The objective of this study was to describe differences between those injuries that were captured by the program, and those that were not. ⋯ There is an under-representation of seriously injured patients by CHIRPP at the IWK. This data may underestimate the true severity of injuries. It may also under-represent injuries that involve incidents of self-harm or drugs. Effort must be expended to increase the capture rate of CHIRPP.
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Croup is one of the most common causes of upper airway obstruction in young children. It is characterized by sudden onset of barky cough, hoarse voice, inspiratory stridor and respiratory distress caused by upper airway inflammation secondary to a viral infection. ⋯ Despite the evidence supporting the use of steroids as the cornerstone of croup treatment, there is significant practice variation among physicians treating croup in the ED. This practice point discusses evidence-based management of typical croup in the ED.